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ICD-10 Guide
ICD-10 CodesK06.022

K06.022

Billable

Generalized gingival recession, moderate

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K06.022 is a billable code used to indicate a diagnosis of generalized gingival recession, moderate.

Key Diagnostic Point:

Generalized gingival recession, moderate, is characterized by the apical migration of the gingival margin, leading to exposure of the root surfaces of the teeth. This condition often presents with symptoms such as sensitivity to temperature changes, discomfort during brushing, and aesthetic concerns due to the appearance of elongated teeth. The anatomy involved includes the gingiva, periodontal ligament, and alveolar bone. Disease progression can vary; if untreated, moderate gingival recession may advance to severe recession, potentially resulting in tooth mobility and loss. Diagnostic considerations include clinical examination, probing depth measurements, and radiographic evaluation to assess the extent of periodontal attachment loss. It is essential to differentiate generalized gingival recession from localized forms and other periodontal diseases to ensure appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and differentiation from other periodontal conditions.
  • Treatment complexity: Management may involve non-surgical and surgical interventions, depending on severity.
  • Documentation requirements: Detailed records of clinical findings, treatment plans, and patient history are necessary.
  • Coding specificity: Accurate coding requires understanding of the specific type and severity of gingival recession.

Audit Risk Factors

  • Common coding errors: Misclassification of the severity or type of gingival recession.
  • Documentation gaps: Incomplete records that do not support the diagnosis or treatment provided.
  • Billing challenges: Issues may arise from insufficient documentation leading to claim denials.

Specialty Focus

Medical Specialties

Dentistry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Periodontology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Generalized gingival recession has significant clinical implications, affecting not only oral health but also overall quality of life due to pain and aesthetic concerns. The condition is prevalent in various populations, particularly among older adults and those with poor oral hygiene practices. Understanding the epidemiology of gingival recession can help healthcare providers implement preventive measures and improve patient outcomes through targeted interventions and education.

ICD-9 vs ICD-10

Generalized gingival recession has significant clinical implications, affecting not only oral health but also overall quality of life due to pain and aesthetic concerns. The condition is prevalent in various populations, particularly among older adults and those with poor oral hygiene practices. Understanding the epidemiology of gingival recession can help healthcare providers implement preventive measures and improve patient outcomes through targeted interventions and education.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the treatment plan and the necessity of procedures performed. Common denials may arise from insufficient documentation supporting the diagnosis or the need for treatment. It is essential to ensure that all services rendered are clearly documented and justified in the patient's record to avoid billing challenges and ensure proper reimbursement.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K06.022?

K06.022 specifically covers moderate generalized gingival recession, which is defined by the loss of gum tissue around multiple teeth, leading to root exposure. It does not include localized gingival recession or other periodontal diseases.

When should K06.022 be used instead of related codes?

K06.022 should be used when there is evidence of moderate generalized gingival recession affecting multiple teeth. It should not be used for localized conditions or when the recession is classified as severe.

What documentation supports K06.022?

Documentation should include clinical examination findings, probing depths, photographic evidence of gingival recession, and treatment plans. Detailed notes on patient history and symptoms are also crucial.